[Coronary disease: early intervention saves lives. Treatment of acute myocardial infarction in Mantova: results of thirty months of work after the implementation of a province network].
Identifieur interne : 000541 ( PubMed/Corpus ); précédent : 000540; suivant : 000542[Coronary disease: early intervention saves lives. Treatment of acute myocardial infarction in Mantova: results of thirty months of work after the implementation of a province network].
Auteurs : R. Zanini ; M. Romano ; F. Buffoli ; C. Lettieri ; A. Izzo ; N. Baccaglioni ; M. Aroldi ; L. Tomasi ; H. Kuwornu ; P. PepiSource :
- Giornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia [ 0393-5590 ]
English descriptors
- KwdEn :
- MESH :
- geographic : Italy.
- complications : Coronary Disease.
- etiology : Myocardial Infarction.
- mortality : Coronary Disease, Myocardial Infarction.
- therapy : Coronary Disease, Myocardial Infarction.
- Angioplasty, Balloon, Coronary, Humans, Time Factors.
Abstract
Since June 2001, in the province of Mantova, we have undertaken a program for the management of acute myocardial infarction based on the early assessment of patient risk profiles, concerning telematic connections among care centers and on the optimization of in-hospital and out of hospital critical pathways for access to care.
PubMed: 15786407
Links to Exploration step
pubmed:15786407Le document en format XML
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<author><name sortKey="Zanini, R" sort="Zanini, R" uniqKey="Zanini R" first="R" last="Zanini">R. Zanini</name>
<affiliation><nlm:affiliation>Divisione di Cardiologia, Azienda Ospedaliera 'Carlo Poma', Mantova - Italy. cardiomantova@virgilio.it</nlm:affiliation>
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<author><name sortKey="Romano, M" sort="Romano, M" uniqKey="Romano M" first="M" last="Romano">M. Romano</name>
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<author><name sortKey="Buffoli, F" sort="Buffoli, F" uniqKey="Buffoli F" first="F" last="Buffoli">F. Buffoli</name>
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<author><name sortKey="Lettieri, C" sort="Lettieri, C" uniqKey="Lettieri C" first="C" last="Lettieri">C. Lettieri</name>
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<author><name sortKey="Izzo, A" sort="Izzo, A" uniqKey="Izzo A" first="A" last="Izzo">A. Izzo</name>
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<author><name sortKey="Baccaglioni, N" sort="Baccaglioni, N" uniqKey="Baccaglioni N" first="N" last="Baccaglioni">N. Baccaglioni</name>
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<author><name sortKey="Aroldi, M" sort="Aroldi, M" uniqKey="Aroldi M" first="M" last="Aroldi">M. Aroldi</name>
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<author><name sortKey="Tomasi, L" sort="Tomasi, L" uniqKey="Tomasi L" first="L" last="Tomasi">L. Tomasi</name>
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<author><name sortKey="Kuwornu, H" sort="Kuwornu, H" uniqKey="Kuwornu H" first="H" last="Kuwornu">H. Kuwornu</name>
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<author><name sortKey="Pepi, P" sort="Pepi, P" uniqKey="Pepi P" first="P" last="Pepi">P. Pepi</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Coronary disease: early intervention saves lives. Treatment of acute myocardial infarction in Mantova: results of thirty months of work after the implementation of a province network].</title>
<author><name sortKey="Zanini, R" sort="Zanini, R" uniqKey="Zanini R" first="R" last="Zanini">R. Zanini</name>
<affiliation><nlm:affiliation>Divisione di Cardiologia, Azienda Ospedaliera 'Carlo Poma', Mantova - Italy. cardiomantova@virgilio.it</nlm:affiliation>
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<author><name sortKey="Romano, M" sort="Romano, M" uniqKey="Romano M" first="M" last="Romano">M. Romano</name>
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<author><name sortKey="Buffoli, F" sort="Buffoli, F" uniqKey="Buffoli F" first="F" last="Buffoli">F. Buffoli</name>
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<author><name sortKey="Lettieri, C" sort="Lettieri, C" uniqKey="Lettieri C" first="C" last="Lettieri">C. Lettieri</name>
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<author><name sortKey="Izzo, A" sort="Izzo, A" uniqKey="Izzo A" first="A" last="Izzo">A. Izzo</name>
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<author><name sortKey="Baccaglioni, N" sort="Baccaglioni, N" uniqKey="Baccaglioni N" first="N" last="Baccaglioni">N. Baccaglioni</name>
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<author><name sortKey="Aroldi, M" sort="Aroldi, M" uniqKey="Aroldi M" first="M" last="Aroldi">M. Aroldi</name>
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<author><name sortKey="Tomasi, L" sort="Tomasi, L" uniqKey="Tomasi L" first="L" last="Tomasi">L. Tomasi</name>
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<author><name sortKey="Kuwornu, H" sort="Kuwornu, H" uniqKey="Kuwornu H" first="H" last="Kuwornu">H. Kuwornu</name>
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<author><name sortKey="Pepi, P" sort="Pepi, P" uniqKey="Pepi P" first="P" last="Pepi">P. Pepi</name>
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<series><title level="j">Giornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia</title>
<idno type="ISSN">0393-5590</idno>
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<term>Coronary Disease (complications)</term>
<term>Coronary Disease (mortality)</term>
<term>Coronary Disease (therapy)</term>
<term>Humans</term>
<term>Italy</term>
<term>Myocardial Infarction (etiology)</term>
<term>Myocardial Infarction (mortality)</term>
<term>Myocardial Infarction (therapy)</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Italy</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronary Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Myocardial Infarction</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronary Disease</term>
<term>Myocardial Infarction</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronary Disease</term>
<term>Myocardial Infarction</term>
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<keywords scheme="MESH" xml:lang="en"><term>Angioplasty, Balloon, Coronary</term>
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<front><div type="abstract" xml:lang="en">Since June 2001, in the province of Mantova, we have undertaken a program for the management of acute myocardial infarction based on the early assessment of patient risk profiles, concerning telematic connections among care centers and on the optimization of in-hospital and out of hospital critical pathways for access to care.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">15786407</PMID>
<DateCreated><Year>2005</Year>
<Month>03</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted><Year>2005</Year>
<Month>06</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised><Year>2010</Year>
<Month>11</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0393-5590</ISSN>
<JournalIssue CitedMedium="Print"><Volume>22 Suppl 31</Volume>
<PubDate><MedlineDate>2005 Jan-Feb</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Giornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia</Title>
<ISOAbbreviation>G Ital Nefrol</ISOAbbreviation>
</Journal>
<ArticleTitle>[Coronary disease: early intervention saves lives. Treatment of acute myocardial infarction in Mantova: results of thirty months of work after the implementation of a province network].</ArticleTitle>
<Pagination><MedlinePgn>S75-83</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Since June 2001, in the province of Mantova, we have undertaken a program for the management of acute myocardial infarction based on the early assessment of patient risk profiles, concerning telematic connections among care centers and on the optimization of in-hospital and out of hospital critical pathways for access to care.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Our network provides connections among the following centers: advanced life support ambulances, seven hospitals, three coronary care units, one cath lab on call 24 h a day for primary angioplasty, and one thoracic surgery division. This program, through its strong telematic platform, allows the early assessment of myocardial infarction and provides primary angioplasty to all high-risk patients, as fibrinolytic treatment is reserved only for low-risk patients admitted in peripheral hospitals.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Two hundred and eighty patients with acute myocardial infarction were treated with angioplasty; 224 patients (80%) underwent primary angioplasty, 36 patients (13%) facilitated angioplasty and 20 patients (7%) rescue angioplasty. One hundred and thirty-two patients (47%) were first admitted to Mantova Hospital; 78 patients (28%) were referred to Mantova from peripheral hospitals and 70 patients (25%) were directly transported to the cath lab by advanced life support ambulances. Procedural success was obtained in 98% of patients, with 0.4% intraprocedural mortality. In-hospital mortality was 5.7%, while mortality in cardiogenic shock patients was 36%. The recurrence of acute myocardial infarction occurred in 1% of patients and major bleeding occurred in 2.2% of patients. One patient with cardiogenic shock died during transport. Mean door to balloon time was 67 min with a 42% reduction in the 3rd recruitment period.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This program, developed in the setting of a provincial network for the management of acute myocardial infarction, provided primary angioplasty to all high-risk patients, with a high procedural success rate. Within a few months, time to treatment was minimized by the use of telematic facilities.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zanini</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Divisione di Cardiologia, Azienda Ospedaliera 'Carlo Poma', Mantova - Italy. cardiomantova@virgilio.it</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Romano</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Buffoli</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
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<Author ValidYN="Y"><LastName>Lettieri</LastName>
<ForeName>C</ForeName>
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<Author ValidYN="Y"><LastName>Izzo</LastName>
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<Author ValidYN="Y"><LastName>Baccaglioni</LastName>
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<Author ValidYN="Y"><LastName>Tomasi</LastName>
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<Author ValidYN="Y"><LastName>Kuwornu</LastName>
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<Author ValidYN="Y"><LastName>Pepi</LastName>
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<Language>ita</Language>
<PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType>
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<VernacularTitle>Malattia coronarica: l'intervento precoce salva la vita. Terapia dell'infarto miocardico acuto a Mantova, risultati di trenta mesi di attivita' dopo l'attivazione di una rete provinciale.</VernacularTitle>
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<MedlineJournalInfo><Country>Italy</Country>
<MedlineTA>G Ital Nefrol</MedlineTA>
<NlmUniqueID>9426434</NlmUniqueID>
<ISSNLinking>0393-5590</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015906">Angioplasty, Balloon, Coronary</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D003327">Coronary Disease</DescriptorName>
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<QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D007558">Italy</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009203">Myocardial Infarction</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000401">mortality</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName>
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